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"Grief to Grace" Scholarship Application
Pending board approval, scholarships are available up to $750. Proof of income may be required. Please answer the following questions:
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* Required
Name
*
Your answer
Email
*
Your answer
Mailing Address
*
Your answer
Phone number
*
Your answer
What is your birthday?
*
MM
/
DD
/
YYYY
What is your annual household income? If considered for scholarship, proof of income may be required.
*
Less than $25,000
$25,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
$100,000 or more
Required
Are you a single parent?
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Yes
No
Are you a survivor of sex trafficking?
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Yes
No
Are you a survivor of clergy abuse or a member of the clergy?
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Yes
No
Have you experienced sexual abuse at some point in your life?
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Yes
No
Have you ever seen a therapist or are you currently seeing a therapist? If yes, please indicate for how many months/years. If no, please indicate why you have not.
*
Your answer
Please explain why you would like to attend the Grief to Grace retreat.
*
Your answer
Please list any classes, seminars, workshops, retreats etc. you have attended related to healing and/or deliverance:
*
Your answer
Please indicate the amount of financial assistance you are requesting:
*
Your answer
If granted a scholarship, would you prefer to receive payment via check or via Venmo?
*
Check
Venmo
If you answered "Venmo" above, please leave your Venmo account username below:
Your answer
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